Provider Demographics
NPI:1982312104
Name:FOOT AND ANKLE COACH, PC
Entity Type:Organization
Organization Name:FOOT AND ANKLE COACH, PC
Other - Org Name:FORWARD FOOT & ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:RAMOS-CARTHEW
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:925-658-2477
Mailing Address - Street 1:87 FENTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4183
Mailing Address - Country:US
Mailing Address - Phone:925-532-0099
Mailing Address - Fax:
Practice Address - Street 1:87 FENTON ST STE 101
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4183
Practice Address - Country:US
Practice Address - Phone:925-658-2477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty